EXECUTIVE HEALTHCARE INC. NPI 1952611352

NPI Information

  • NPI: 1952611352
  • Provider Name: EXECUTIVE HEALTHCARE, INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1700 SE HILLMOOR DR
    PORT ST LUCIE, FL
    ZIP 34952
  • Phone: (772) 335-5679

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NPI Details

EXECUTIVE HEALTHCARE, INC. is a primary care clinic center in Port St Lucie, FL. EXECUTIVE HEALTHCARE, INC. NPI is 1952611352. The provider is registered as an organization entity type.

The provider's business location address is:

1700 SE HILLMOOR DR
PORT ST LUCIE, FL
ZIP 34952-539
Phone: (772) 335-5679

The provider's authorized official is Albert Zamek .
The authorized official title is Member and has the following contact phone number (561) 758-9222.

The enumeration date for this NPI number is 10/19/2010 and was last updated on 7/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME62525FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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